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Ajovy

Fremanezumab

An injectable biological therapy administered monthly or quarterly to prevent migraine headaches.

Generic name
Fremanezumab
Brand name
Ajovy
Route
Subcutaneous
Marketed by
Teva
First FDA approval
14 Sep 2018

Where Fremanezumab is approved

All regulators →

Of the three regulators tracked here, the first to approve Fremanezumab was the US, on 14 Sep 2018. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
14 Sep 2018
Ajovy
BLA761089 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
28 Mar 2019
Ajovy
EMA product page
First centralised authorisation
CACanada (Health Canada)
9 Apr 2020
Ajovy
Notice of Compliance 23441
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Fremanezumab

All medicines →
ENNHS England
£2k
2 items dispensed, Aug 2025 to Jul 2026
-50% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$166.8m
210,592 prescriptions in 2025 · Ajovy
+27% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Fremanezumab works

All drug targets →
  • Calcitonin gene-related peptide antagonist Antagonist
    Target: Calcitonin gene-related peptide
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • Chronic interstitial cystitisPhase 2
  • FibromyalgiaPhase 2

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL4297756, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 9208, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Fremanezumab

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 2 technology appraisals of Fremanezumab. 2 are current, and 2 of these recommend it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Fremanezumab for preventing migraine
NICE TA764
Optimised2 Feb 2022Current
Fremanezumab for preventing migraine
NICE TA631
Optimised3 Jun 2020Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Fremanezumab

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 1 product on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Ajovy
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

What Ajovy is used for

AJOVY is indicated for: the preventive treatment of migraine in adults, and the preventive treatment of episodic migraine in pediatric patients who are 6 to 17 years of age and who weigh 45 kg or more. AJOVY is a calcitonin gene-related peptide antagonist indicated for: the preventive treatment of migraine in adults, and the preventive treatment of episodic migraine in pediatric patients who are 6 to 17 years of age and who weigh 45 kg or more. ( 1 )

How it works

12.1 Mechanism of Action Fremanezumab-vfrm is a humanized monoclonal antibody that binds to calcitonin gene-related peptide (CGRP) ligand and blocks its binding to the receptor.

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 10 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.